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粪便微生物群移植在肿瘤防治中的研究进展

Research progress on fecal microbiota transplantation in tumor prevention and treatment.

作者信息

Wu Yijia, Chen Xi, Wu Qingming, Wang Qiang

机构信息

Wuchang Hospital Affiliated to Wuhan University of Science and Technology, Medical College, Wuhan University of Science and Technology, Wuhan, 430065, China.

出版信息

Open Life Sci. 2025 Apr 1;20(1):20220954. doi: 10.1515/biol-2022-0954. eCollection 2025.

Abstract

The application of fecal microbiota transplantation (FMT) as a therapeutic strategy to directly modify the makeup of the gut microbiota has made significant progress in the last few decades. The gut microbiota, a sizable microbial community present in the human gut, is essential for digestion, immunomodulation, and nutrition absorption. Alternatively, a growing body of research indicates that gut microbiota is a key contributor to cancer, and intratumoral bacteria are considered to be crucial "accomplices" in the development and metastasis of malignancies. The exceptional clinical effectiveness of FMT in treating melanoma patients has been adequately established in earlier research, which has created new avenues for the diagnosis and treatment of cancer and sparked an increasing interest in the treatment and prevention of other cancers. However, further research on the function and mechanisms of the gut microbiota is required to properly comprehend the impact and role of these organisms in tumor regulation. In this article, we present a detailed account of the influence of FMT on the entire course of cancer patients' illness and treatment, from tumor development, metastasis, and invasion, to the impact and application of treatment and prognosis, as well as address the associated mechanisms.

摘要

在过去几十年中,粪便微生物群移植(FMT)作为一种直接改变肠道微生物群组成的治疗策略取得了重大进展。肠道微生物群是存在于人体肠道中的一个庞大微生物群落,对消化、免疫调节和营养吸收至关重要。另外,越来越多的研究表明,肠道微生物群是癌症的关键促成因素,肿瘤内细菌被认为是恶性肿瘤发生和转移的关键“帮凶”。早期研究已充分证实FMT在治疗黑色素瘤患者方面具有卓越的临床疗效,这为癌症的诊断和治疗开辟了新途径,并引发了人们对其他癌症治疗和预防的日益浓厚兴趣。然而,需要对肠道微生物群的功能和机制进行进一步研究,以正确理解这些微生物在肿瘤调节中的影响和作用。在本文中,我们详细阐述了FMT对癌症患者疾病和治疗全过程的影响,从肿瘤发生、转移和侵袭,到治疗和预后的影响及应用,并探讨了相关机制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f356/11964189/986ced306825/j_biol-2022-0954-fig001.jpg

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